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Rad Tech Application and Info

The document provides information about the Radiologic Technology program at Fort Hays State University, including an overview of the profession, details of the program curriculum and clinical sites, and contact information for the program director. Students complete prerequisite coursework and then a two year program with classroom and clinical components to earn an Associate of Science degree and be eligible for national certification.

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0% found this document useful (0 votes)
106 views12 pages

Rad Tech Application and Info

The document provides information about the Radiologic Technology program at Fort Hays State University, including an overview of the profession, details of the program curriculum and clinical sites, and contact information for the program director. Students complete prerequisite coursework and then a two year program with classroom and clinical components to earn an Associate of Science degree and be eligible for national certification.

Uploaded by

vefijo4087
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RADIOLOGIC TECHNOLOGY (RT) PROGRAM

The Fort Hays State University Department of Allied Health is pleased you have expressed interest in the Radiologic
Technology Program.

The curriculum will prepare students to master radiography concepts and techniques through an integration ofdidactic and
clinical components. The student will have the opportunity to obtain the Associate of Science Degree in Radiologic
Technology and pursue further into a Bachelor of Science in Medical Diagnostic Imaging.

The Radiologic Technology Program requires a separate application to the Radiologic Technology Program in addition to
applying to FHSU. Included is detailed information, application materials, and an application checklist. Please review the
material and follow the directions for application. The application, and all other required materials, must be received by
January 31st for consideration.

Thank you for considering Fort Hays State University in your pursuit for Radiologic Technology education. If you require any
assistance or have any question regarding the program or application process, please do not hesitateto contact:
Ms. Jennifer Wagner, MS, RT(R)(M)(QM), RDMS, RVT
Director of Radiologic Technology
785-628-5972 or 785-628-5678

THE PROFESSION
General radiography involves the use of radiation to image bones and structures within the human body. The radiologic
technologist (R.T.) works directly with patients to correctly position their body, manipulate the equipment and technical settings
to produce a diagnostic image for the radiologist to interpret. For certain exams, the radiologic technologist will work closely
with the radiologist to assist with an imaging procedure. Radiologic technologists work in hospitals, physician offices,
orthopedic clinics, and surgical centers. Radiologic technologists must be well educated in human anatomy, disease
processes, exam requirements, positioning skills, equipment, radiation safety and patient care.

After an individual obtains the initial certification in radiography, they may also choose to specialize in other diagnostic
imaging areas such as: Computed Tomography, Magnetic Resonance Imaging, Radiation Therapy, Nuclear Medicine,
Cardiovascular Interventional Technology, Mammography, Bone Densitometry, and Ultrasound.

CAREER OPPORTUNITIES
A radiologic technologist may choose to work in diagnostic imaging or cross-train in other imaging modalities. The current
market displays job openings and growth predicted until 2028. However, a recent graduate may have to consider first
employment outside of their preferred location, preferred setting, and preferred shift. Radiologic technologists could secure
employment with hospitals or clinics, traveling companies, equipment sales, equipmentapplication, advance into
management, or become an educator.

1 10/23
FACILITIES
The Department of Allied Health is located in Cunningham Hall 129 on the FHSU campus. Students complete lecture courses in a
classroom that is fully mediated. A radiography laboratory is available with equipment and digital technologies similar to a hospital
environment. Students learn the principles and practices of radiology examinations in the classroom and then apply them in the
laboratory setting. Once students complete requirements of the on-campus didactic and laboratory courses, they will apply the
knowledge to the clinical setting. At the various clinical facilities, students will perform patient examinations under the direct
supervision of qualified staff. Here is a complete list of current facilities and contact information to arrange a clinical visit at one of
our program's clinical affiliates:

Memorial Hospital Salina Regional Health Center Sterling Regional MedCenter


511 N.E. 10th Street 400 S. Santa Fe 615 Fairhurst Street
Abilene, KS 67410-0069 Salina, KS 67402-5080 Sterling, CO 80751
(785)263-6663 (785)452-7181 (970)521-3147
Clinical Instructor: Clinical Instructor: Clinical Instructor:
Noel Schultze Harmony Ibarra Lisa Haas

Advent Health Ottawa University of Kansas Health System Olathe Medical Center
1301 S. Main Street 3901 Rainbow Blvd. 20333 W. 151st Street
Ottawa, KS 66067 Kansas City, KS 66160-7234 Olathe, KS 66061-7211
(785)229-8406 (913)588-6850 (913)791-4291 ext 4692
Clinical Instructor: Clinical Instructor: Clinical Instructor:
Kerrie Jung Mallory Fischer Madison Miller

Ascension Via Christi – St. Francis Wesley Medical Center Citizens Medical Center
929 N. St. Francis 550 N. Hillside 100 E College Dr
Wichita, KS 67204 Wichita, KS 67214 Colby, KS 67701
(316)286-5934 (316)962-2955 (785)460-1289
Clinical Instructor: Clinical Instructor: Clinical Instructor:
Michelle Moore Allison Fisher Rachel Wolf

Southwest Medical Center St. Catherine Hospital HaysMed


315 W. 15th Street 401 East Spruce 2220 Canterbury Road
Liberal, KS 67905 Garden City, KS 67846 Hays, KS 67601
(620)629-2435 (620)272-2270 (785)623-5707
Clinical Instructor: Clinical Instructor: Clinical Instructor:
Elizabeth Denoyer Alex Argueta Mandy Meyers

St. Catherine Hospital Dodge City Olathe Health Miami County Medical Center Rooks County Health Center
3001 Avenue A 2100 Baptiste Dr 1210 N Washington St
Dodge City, KS 67801 Paola, KS 66071 Plainville, KS 67663
(620)225-8487 (913)294-6635 (785)688-4424
Clinical Instructor: Clinical Instructor: Clinical Instructor:
Mikeyla Shearer Megan Breiner Karen Harris

North Central Kansas Medical Center University of Kansas Health Systems, Great Bend Campus
155 College Dr 514 Cleveland
Concordia, KS 66901 Great Bend, KS 67530
(785)243-8448 (620)791-6242
Clinical Instructor: Clinical Instructor:
Logan Widen Amy Christopher

2 10/23
CURRICULUM
The Associate of Science Degree in Radiologic Technology (RT) requires twenty-six hours of prerequisite coursework in addition
to twenty-four months of study of major coursework. Students must be accepted into the program in order to enroll in the major
courses. The prerequisite courses may be taken at FHSU or at any college as long as they are considered equivalent by the Fort
Hays State University Registrar. Upon successful completion of the Radiologic Technology Program, students will be eligible to
take the national certification exam offered by the American Registry of Radiologic Technologists (ARRT).

Pre-Radiology Technology Coursework 26 HRS

Year 1 (FHSU Campus) Year 2 (at assigned clinical site)


Semester I – Summer HRS Semester IV – Summer HRS
RAD 260 Orientation/Rad Tech 1 RAD 330 Clinical Experience 4
RAD 262 Radiographic Procedures I 2 RAD 340 Advanced Radiology Seminar I 2
RAD 262L Radiographic Procedures I Lab 1 6
RAD 265 Patient Care in Medical Imaging I 1
RAD 363 Principles/Rad Exposure I 1
6
Semester II – Fall HRS Semester V – Fall HRS
RAD 263 Radiographic Procedures II 3 RAD 331 Clinical Experience 6
RAD 263L Radiographic Procedures II Lab 2 RAD 341 Advanced Radiology Seminar II 2
RAD 266 Patient Care in Medical Imaging II 1 8
RAD 364 Principles/Rad Exposure II 2
RAD 365 Special Procedures in Radiology (1st 8 weeks) 1
RAD 373 Radiographic Pathology I (2nd 8 weeks) 1
10
Semester III – Spring HRS Semester VI – Spring HRS
RAD 261 Radiologic Safety (1st 8 weeks) 1 RAD 332 Clinical Experience 6
RAD 264 Radiographic Procedures III 2 RAD 342 Advanced Radiology Seminar III 2
RAD 264L Radiographic Procedures III Lab 2 8
RAD 300 Radiation Biology (2nd 8 weeks) 1
RAD 368 Seminar in Radiology 1 Total Prerequisite Credits 26
RAD 372 Biophysics 2 Major Credits 47
9 Other Related General Education Credits 18
Total Hours Required 91

ACCREDITATION

Fort Hays State University is accredited by the Higher Learning Commission of the North Central Association ofColleges
and Schools. The Radiologic Technology program also has programmatic accreditation granted by the Joint Review
Commission on Education in Radiology Technology (JRCERT). www.jrcert.org/students

3 10/23
GENERAL ADMISSION REQUIRMENTS TO THE UNIVERSITY
Applicants to the Radiologic Technology Program must meet the general admission requirements to Fort Hays StateUniversity as
outlined in the college catalog. Students can apply for admission on-line at http://www.fhsu.edu/ admissions.

PROGRAM ADMISSION AND APPLICATION REQUIREMENTS

All candidates must successfully complete the prerequisite courses with a minimum of “C” or better and have a minimum
cumulative GPA of 2.75. If taking courses at another institution, please confirm equivalency with the FHSURegistrar.
CREDITS
BIOL 100 Human Biology 3
BIOL 102 Laboratory Experiences in Biology 1
BIOL 230 Anatomy and Physiology I 3
BIOL 230L Anatomy and Physiology I Laboratory 1
BIOL 231 Anatomy and Physiology II 3
BIOL 231L Anatomy and Physiology II Laboratory 1
BIOL 245 Medical Terminology 2
MATH 110 College Algebra 3
COMM 100 Fundamentals of Oral Communication 3
ENG 101 English Composition I 3
ENG 102 English Composition II 3
26

Recommended MDI ELECTIVES prior to program application:


MDI 250 Principles of Medical Imaging (on-campus) 2
MDI 350 Anatomy for Medical Imaging Professionals (on-campus) 3
MDI 410VA Cross Sectional Anatomy: Normal (on-line) 4
MDI 411VA Sectional Pathology & Variant Anatomy (on-line) 4

*Equivalency of transfer credit will be determined by the FHSU Registrar's Office.

**In addition, to the above-mentioned pre-requisite courses, all students must complete the KBOR General
Education Program.
https://www.fhsu.edu/general-education/documents/fhsu-kbor-general-education-framework.pdf

Students seriously considering the program are strongly encouraged to arrange observational experiences withinany
radiology department. However, it is encouraged that the student arranges at least one observational experience at a FHSU
associated clinical affiliate. Students should be aware that some facilities limit the number of hours a student is allowed to
job shadow. Students are encouraged to shadow to better understand the responsibilities one will gradually assume during
the academic and clinical courses while at FHSU and eventually within the profession.

The FHSU associated clinical affiliates have graciously agreed to allow students the opportunity to arrange andcomplete
clinical observations/job shadowing at their facilities. It is expected that the student will follow all directions of supervising
staff and abide by all facility policies. Please be considerate of their time and effort.

4 10/23
APPLICATION DEADLINE AND SELECTION PROCESS
Consideration for admission to the Radiologic Technology Program involves an application process. The application process
requires that the student meets the aforementioned criteria. Meeting the criteria does not guarantee admission. In addition, the
student must complete and submit all application materials by January 31 of each year. The completed application,
official transcripts from colleges where any previous or current coursework was completed, and the applicant’s personal
statement must be received by the deadline forconsideration. Incomplete application files will not be considered.

Acceptance into the program is conducted through a selection process. Following the January 31 application deadline,
complete applications will be reviewed. Approximately sixty to seventy of the most qualified applicants will be invited to campus
to interview with the RT Student Selection Committee in early March. The number of students selected is based off available
clinical capacity which could vary year to year. These selected students will begin the program in the upcoming summer
semester. Applicants who do not receive an interview may reapply the following year and must comply again with the
application process.

The RT Program Selection Committee is comprised of FHSU faculty and affiliate clinicians. A sample of the interview scorecard
can be located on the Allied Health webpage affiliated with the Associate of Science in Radiologic Technology. Acceptance in
the program will be based upon the information provided in the student’s application, student record of academic achievement,
nature of work experiences or work experience within the medical field, knowledge of radiology, perceived communications
skills, motivation and maturity will all be considered.

Student acceptance letters are mailed in March. A student who receives an acceptance letter is required to return acceptance
confirmation within a specific time frame to secure their space in the class. Failure to return the confirmation by the specified
date will result in forfeiture of the student’s space in the class.

It is anticipated that the number of qualified applicants will exceed the number of positions in the program.Students are advised
that not all qualified applicants are admitted to the program.

ELIGIBILITY FOR PROFESSIONAL PRACTICE


In addition to the successful completion of the program, graduates must pass the national ARRT certification examination.
Additionally, graduates must inquire, meet, and pursue application to state specific licensing.

FINANCIAL INFORMATION

This program is an advanced program, limiting availability for employment during the program course sequence.
Therefore, it is strongly suggested that you have plans for adequate financing of your education prior to enteringthe
Radiologic Technology Program. The office of Student Financial Services can assist you in planning to meet your financial
needs. The information listed here is subject to change. This information is only meant to give the student a general idea of
the overall costs of the program.
Each student admitted to the Radiologic Technology Program is responsible for the following expenses and
information associated with the program:

• Tuition and student fees as defined by Fort Hays State University and approved by the Board of Regents. Visit
http://www.fhsu.edu/sfs/students_parents/tuition/ to learn more.
• All living expenses and transportation, including appropriate parking permits. Student attending FHSU
contact University Police Office, http://www.fhsu.edu/university-police/parking-brochure/ to learn more.
• Books for the entire curriculum are an estimated cost of approximately $900-1100.
• Program fee, $250 non-refundable. This fee will be used toward equipment repair, and other miscellaneous
materials during the program.
• Background check, immunization record management, & drug test are required for each student. The costis
approximately $120.00 from CastleBranch.
Before beginning the program of study, students must complete a background check required by affiliate clinical sites. Students who
have been convicted of a felony or misdemeanor may have violated the American Registry of Radiologic Technologists (ARRT) Rules
of Ethics and may be considered ineligible to sit for the registry examinations. An individual who wishes to determine the impact of a
previous criminal matter on their eligibility to sit for the ARRT examination may submit a pre-application determination of approval to
test form to the ARRT. This material may be located at www.arrt.org or the individual may contact them directly for the information at
(650) 687-0048.
• Professional liability insurance – each student will need to provide a valid social security number when
purchasing professional liability insurance. Insurance is available at an appropriate cost $40.00 - $60.00. Must
provide proof to the Program Director, prior to beginning clinical experience.

5 10/23
• Basic Life Support CPR, required for the duration of the program – required from American Heart
Association; estimated cost $45.00.
• Scrubs and Shoes - FHSU RT program approved scrubs. Several sets of scrubs will be needed throughout the
duration of the program. Students will also need to purchase appropriate shoes and any other necessary uniform
items required per clinical affiliate policy.
• Anatomic R/L Lead Image Markers – Students will be given instructions on specifics prior to the start of the
program of what lead image markers to order. Image markers are what technologists use to identify the right and left
sides of the body when acquiring the radiographic image. Estimated cost $45.00.
• Health Insurance – each student is required to have appropriate health insurance to cover the cost associated with
illness or injury while on campus and at the clinical facility. Student health insurance policies are available through the
university at the Student Health Center. Please contact the Director of the StudentHealth Center for more information.
Students must provide proof of health insurance.
• On-Line Clinical Handbook - All students are required to purchase user access ($100) for Trajecsys, an on-line
database designed to track student clinical progress.

FINANCIAL ASSISTANCE

FHSU students are strongly encouraged to apply for scholarships, and financial assistance under one or more available
programs. The Office of Student Financial Services is available to assist students in the pursuit of financial aid visit
http://www.fhsu.edu/finaid to learn more. A large percentage of students receive some type ofacademic or activity
scholarship, as well as other types of financial assistance.
Once accepted for the Radiologic Technology Program, students may qualify for additional departmental
scholarships. Contact the Program Director for further information.

MEDICAL DIAGNOSTIC IMAGING PROGRAM

Fort Hays State University is the only university in Kansas that offers a Bachelor of Science Degree in Medical Diagnostic
Imaging. The Medical Diagnostic Imaging Program is designed to provide Radiologic Technology students with didactic
clinical training in additional modalities. Many clinics and hospitals are seeking individuals with experience in more than one
specialty area. The Medical Diagnostic Imaging (MDI) coursework will allow students to increase their knowledge and skills in
these specialty areas, expand their job opportunities, and assist in obtaining advanced certifications.
The following specialty courses are offered within the Medical Diagnostic Imaging major:
Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Mammography (M), Cardiovascular Interventional
Technology (CVIT), Diagnostic Medical Imaging (DMS), Bone Densitometry (BD), Picture Archiving and Communication
Systems (PACS), Leadership, and Administration.
CURRICULUM
Upon admission to the Radiologic Technology Program, each student will work cooperatively with their professional
academic advisor to develop a course of study tailored to individual interests. The program of study will include advanced
imaging courses and could include any requisite general education credits where a student is deficient. Often, a student will
integrate medical diagnostic imaging courses into their radiologic technology course curriculum. A pre-radiologic student is
limited to a maximum of three Medical Diagnostic Imaging major courses prior to Radiologic Technology Program
acceptance.
CAREERS
Employment for you is abundant throughout our region and starting salaries are quite good. Competence and skill in more
than one diagnostic imaging modality will enable you to pursue a wider variety of jobs and compete for higher salaries.
Most of our graduates are employed to staff diagnostic imaging departments in hospitals, but you may seek employment in
clinics, physician's offices, mobile diagnostic imaging units and industrial health care facilities.
ELIGIBILITY FOR THE PROGRAM
Students must be accepted into the Fort Hays State University Radiologic Technology Program and maintain goodacademic
standing (C or better) to remain within the Medical Diagnostic Imaging degree track.

6 10/23
MAJOR ELECTIVE COURSES

Students must successfully complete a minimum of 30 credit hours from the following list of courses:

RT Year 1
Semester Courses Available Credit Hours
1st Fall
MDI 410VA Cross-Sectional Anatomy: Normal 4
MDI 411VA Sectional Pathology & Variant Anatomy 4
MDI 418 Cardiovascular Interventional Technology 4
MDI 428 Principles of Diagnostic Medical Imaging 4
1st Spring
MDI 410VA Cross-Sectional Anatomy: Normal 4
MDI 411VA Sectional Pathology & Variant Anatomy 4
MDI 413 Computer Tomography Physics & Instrumentation 4
MDI 417 Magnetic Resonance Imaging Physics & Instrumentation 4
MDI 428VA Principles of Diagnostic Medical Sonography 4

RT Year 2
Semester Courses Available Credit Hours
2nd Summer
MDI 410VA Cross-Sectional Anatomy: Normal 4
MDI 422 VA Advanced Patient Care for Imaging Professionals 2
MDI 423VA Bone Densitometry Techniques 2
2nd Fall
MDI 413VA Computer Tomography Physics & Instrumentation 4
MDI 417VA Magnetic Resonance Imaging Physics & Instrumentation 4
MDI 420VA Leadership & Management in Radiology 3
MDI 430VA PACS Administration (2nd 8 weeks of semester) 2
2nd Spring
MDI 412VA Computed Tomography Procedures 4
MDI 419 Mammography for Radiologic Technologists 4
MDI 421VA Advanced Mammography (2nd 8 weeks of semester) 2
MDI 426VA Advanced Cardiovascular-Interventional Technology 4
MDI 428VA Principles of Diagnostic Medical Sonography 4
MDI 431VA MRI Procedures 4
MDI 432VA Managing Change in Healthcare 4
MDI 433VA Emerging Issues in Healthcare Administration 4

*VA - indicates Virtual Course

Students must earn a “C” or higher in all MDI credits in order to count towards the required 30 upper division
hours for the major

7 10/23
PRECEPTORSHIPS

Students must attain a grade of “C” or better in all prerequisite courses before being allowed to enroll in the Clinical
Preceptorship for each of the following specialties. At the current time, the following courses are required before being allowed
to enroll in a clinical preceptorship:

MDI 441 Preceptorship: Leadership & Management


MDI 420 Leadership Management in Radiology

MDI 442 Preceptorship: PACS

MDI 430 PACS Administration

MDI 443 Preceptorship: Computed Tomography (CT)


MDI 410 Cross-Sectional Anatomy: Normal
MDI 411 Sectional Pathology & Variant Anatomy

MDI 412 Computed Tomography Procedures


OR
MDI 413 Computed Tomography Physics & Instrumentation

MDI 444 Preceptorship: Magnetic Resonance Imaging


MDI 410 Cross-Sectional Anatomy: Normal
MDI 411 Sectional Pathology & Variant Anatomy

MDI 417 MRI Physics & Instrumentation


OR
MDI 431VA MRI Procedures

MDI 445 Preceptorship: Cardiovascular Interventional Technology


MDI 422 Advanced Patient Care

MDI 418 Cardiovascular-Interventional Technology


OR
MDI 426 Advanced CVIT

TO LEARN MORE

Please feel free to contact the Allied Health Department.


We invite you to visit the FHSU campus and meet the program faculty.
FHSU - Allied Health Department - CH 129
600 Park Street Hays, KS 67601
(785) 628-5678 jrwagner@fhsu.edu
Disclaimer – All information provided has been prepared as correctly and accurately as possible at the time of preparation. This information does not constitute a
contract between Fort Hays State University and any person. Further, the university reserves the right to make changes in the content of thisbrochure without
obligation or requirement of notices to any person.

8 10/23
RADIOLOGIC TECHNOLOGY (RT) PROGRAM
APPLICATION FOR PROGRAM ADMISSION
INSTRUCTIONS: Please submit your completed application and all required application materials, including transcripts to:

Director of Radiologic Technology


Fort Hays State University
Department of Allied Health, CH 129
600 Park Street
Hays, KS 67601-4099
In order to be considered as an applicant to the program, all application materials must be received by JANUARY 31.
Incomplete applications will not be processed.

Full name:
Last First Middle

Other name(s) that information may be found under:

Please mark the box next to the address where correspondence should be sent.

Current
Address
Street City State Zip
Permanent
Address
Street City State Zip

Phone: E-Mail Address:


EDUCATION
Please list all schools/programs attended and/or completed beginning with high school. It is the applicant's
responsibility to arrange for an official transcript of credit from each college/university attended to be sent to the
Allied Health Department. (PLEASE NOTE: Failure to list all previous college/universities may result in your
dismissal from the university).

High School __________________________________ ____________________________ _____________________


Name Location Graduation Date

College __________________________________ ____________________________


Name Location

__________________________________ ____________________________ ____________________


Dates of Attendance Number of Credits Earned Degree

College __________________________________ ____________________________


Name Location

__________________________________ ____________________________ ____________________


Dates of Attendance Number of Credits Earned Degree

College __________________________________ ____________________________


Name Location

__________________________________ ____________________________ ____________________


Dates of Attendance Number of Credits Earned Degree
9 10/23
Please provide the following information for the prerequisite courses listed: course #, # credit
hours, grade received, semester completed, and the institution for each course. All prerequisite
courses must be completed with a minimum grade of “C” or better and you must have a minimum overall
college GPA of 2.75 (on a 4.0 scale) to be eligible to apply. Final determination of course equivalency will
be determined by the FHSU Registrar.
EXAMPLE: The following is how you should complete this sheet.
COURSE CREDIT TERM/YEAR
PREREQUISITE COURSES: NUMBER HOURS GRADE COMPLETED INSTITUTION
FORT HAYS STATE
HUMAN BIOLOGY BIOL 100 3 B SPRING 2019
UNIVERSITY
BARTON COUNTY
COLLEGE ALGEBRA MATH 110 3 A FALL 2018
COMMUNITY COLLEGE

COURSE CREDIT TERM/YEAR


PREREQUISITE COURSES: GRADE INSTITUTION
NUMBER HOURS COMPLETED

HUMAN BIOLOGY

LABORATORY EXPERIENCES IN BIOLOGY

ANATOMY AND PHYSIOLOGY I

ANATOMY AND PHYSIOLOGY I LABORATORY

ANATOMY AND PHYSIOLOGY II

ANATOMY AND PHYSIOLOGY II LABORATORY

MEDICAL TERMINOLOGY

COLLEGE ALGEBRA

FUNDAMENTALS OF ORAL COMMUNICATION

ENGLISH COMPOSITION I

ENGLISH COMPOSITION II

10 10/23
PERSONAL STATEMENT: To introduce the applicant's interest and understanding of Radiologic Technology to
the selection committee,formulate a 1-2 page essay describing the following: (Use a separate sheet of paper for
this personal statement).
• Describe your initial interest in the field of Radiologic Technology.
• Describe personal goals related to the field of Radiologic Technology.
• Describe your personal qualities and/or experiences that will make you a competitive candidate for the
FHSU Radiologic Technology Program.
• List any achievements, honors, school/community activities, or volunteering experiences.

Note: Before beginning the program, students must complete a background check as required by affiliated
clinical education sites. Students who have been convicted of a felony or misdemeanor may have violated the
American Registry of Radiology Technologists (ARRT) Rules of Ethics and may be considered ineligible to sit for
board examinations. Individuals may submit a pre-application form to the ARRT (Phone: 651-687-0048, ext.580)
at any time either before or after entry into an approved educational program.

PLEASE READ AND SIGN BELOW: The information contained in this application is true and complete to the
best of my knowledge. I understand that any misrepresentation or falsification of information on this application
may remove this application from further consideration, and if I am accepted, might be cause for my
dismissal. I understand that the information contained in this application will be utilized by the Radiology
Technology Selection Committee for purposes of evaluating my application. I understand that acceptance into
the program is dependent upon having the prerequisites completed. If the total number of candidates
applying for the program is larger than can be admitted, I understand that preference will begiven to those
candidates who are best prepared.

Signature (required for application to be processed) Date

Notice of Non-discrimination: Fort Hays State University does not discriminate on the basis of gender, race,
religion, national origin, color, age, marital status, sexual orientation, disability or veteran status in its programs
and activities. The director of affirmative action, coordinator of Title IX, Title VI, Section 504 and ADA regulations
may be contacted at 600 Park Street, Hays, Ks 67601-4099. Phone: 785-628-4033.

COMPLETE APPLICATIONS DUE JANUARY 31


SUBMIT ALL APPLICATION MATERIALS TO: Fort Hays State University
Department of Allied Health – Cunningham Hall 129
600 Park Street
Hays, KS 67601-4099

ELECTRONIC TRANSCRIPTS TO: alliedhealthdept@fhsu.edu

11 10/23
APPLICATION CHECKLIST

☐ Completed all prerequisite courses needed for admittance into the RadiologicTechnology
Program.

☐ Have earned a "C" or better in all prerequisite courses.


☐ Current FHSU students do not need to submit a FHSU transcript to the Allied Health Department.
However, if transfer credits exist outside of the FHSU institution, an official transcript must be
submitted to alliedhealthdept@fhsu.edu Electronic transcripts are accepted.

☐ Students who are not officially admitted to FHSU, must submit official electronic transcripts from all
educational institutions to alliedhealthdept@fhsu.edu.

☐ Completed and Signed Application.


☐ Completed personal statement described in the application.
☐ Received notification of completed application. If not, you are encouraged to reach out to confirm.

If you have any questions, please contact us:

FHSU - Allied Health Department - CH 129


600 Park Street Hays, KS 67601
(785) 628-5678

12 10/23

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